Field Reimbursement Manager (Oncology)– (Pacific Northwest) – Johnson & Johnson HCS, Inc.

Johnson & Johnson MedTech; Boise (ID); On-site; USD 102,000 - 177,000; Full time

Benefits offered by this job

401(k) plan

Vacation and paid time off

Long‑term incentive program

Job summary

Johnson & Johnson MedTech is seeking a Field Reimbursement Manager to support Genitourinary oncology access in the Pacific Northwest. The role blends education, cross‑functional collaboration, and on‑site engagement with healthcare providers to optimize payer processes and patient access to therapies.

The candidate will educate providers on reimbursement, work with sales and account teams, and address affordability challenges while traveling up to 50% across WA, OR, NV, ID, WY, AK and western MT.

Qualifications

• Bachelor’s degree in healthcare or business/public administration; MBA/MPH preferred.
• Minimum of 5 years of relevant professional experience.
• Reimbursement or managed care experience in provider office settings.
• Ability to travel up to 50% and work with HCPs and payers.

Responsibilities

• Educate HCPs on reimbursement processes, claims submissions, and coding requirements for core and launch products.
• Collaborate with field support team members and serve as reimbursement expert for the local team.
• Address access and affordability issues for patients with urgency and impact.
• Partner with managed care colleagues to understand policies and changes and support patient access.

Skills

Account Management

Reimbursement

Prior Authorization

Coding

Salesforce CRM

Microsoft Word

Excel

Education

Bachelor’s degree in healthcare or business/public administration

MBA or MPH preferred

Tools

Salesforce CRM

Microsoft Word

Excel

Job description

At Johnson & Johnson,we believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented, treated, and cured,where treatments are smarter and less invasive, andsolutions are personal.Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.Learn more at jnj.com
As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit.

Job Function

Pharmaceutical Sales

Job Sub Function

Sales – Pharm (No Commission)

Job Category

Professional

All Job Posting Locations

Boise, Idaho, United States, Las Vegas, Nevada, United States, Portland, Oregon, United States, Seattle, Washington, United States of America

Job Description

About Oncology

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.
Our Oncology team is focused on the elimination of cancer by discovering new pathways and modalities to finding treatments and cures. We lead where medicine is going and need innovators with an unwavering commitment to results.
Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.
Learn more at https://www.jnj.com/innovative-medicine
At Johnson & Johnson Innovative Medicine (JJIM), what matters most is helping people live full and healthy lives. We focus on treating, curing, and preventing some of the most devastating and complex diseases of our time. And we pursue the most promising science, wherever it might be found.
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Genitourinary (GU) Account Field Reimbursement Manager for the Pacific Northwest territory which will be a field-based position. The Genitourinary (GU) FRM team is aligned to large Urology group practices. The Pacific Northwest territory includes WA, OR, NV, ID, WY, AK and western MT.
PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio.

Job Description

An important aspect of patient unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, on-boarding, and adherence.
The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Oncology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders.

A Day in the Life

Every patient’s healthcare experience is unique - shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start or stop a treatment is overwhelming. J&J recognizes this, and wants to create an experience that is personalized, helpful, and hopeful.

Primary Responsibilities

• Primary responsibilities include the following. Other duties may be assigned.
• Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products.
• Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team
• Act with a sense of urgency to address critical access and affordability issues for patients
• Partner with managed care colleagues to understand current policies and potential future changes
• Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement
• Build strong, trust-based relationships with customers in all assigned Oncology accounts
• Manage territory logistics, routing, and account business planning
• Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements
• Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs
• Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial).
• Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training

Market Access Expertise

• Extensive knowledge of medication access channels (i.e., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB) across multiple sites of care
• Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials
• Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff

REQUIRED

QUALIFICATIONS

• Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH)) is preferred.
• Minimum of 5 years of relevant professional experience
• Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationship
• Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding, and billing
• Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes)
• Ability to establish relationships, collaborate, and influence across a matrix organization
• Problem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient manner
• Superior communication skills (written and verbal) and efficient follow-through
• Experience in working with patient support HUB services
• Valid US driver’s license and a driving record in compliance with company standards
• Ability to consistently maintain up to 50% travel
• Permanent residence in the listed territory within reasonable proximity to a major airport

PREFERRED

• Oncology disease state experience
• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding
• Strong market access acumen as it relates to payer approval processes and business acumen
• Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products
• Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred
• Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel
• Demonstrated commitment to learning emerging technologies, such as AI, through exploration, iteration, and apply new tools over time preferred

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center ([e-mail]) or contact AskGS to be directed to your accommodation resource.

Required Skills

Account Management, Coaching, Competitive Landscape Analysis, Compliance Management, Consulting, Cross-Functional Collaboration, Escalation Management, Fact-Based Decision Making, Finance and Accounting Platforms, Financial Reports, Market Access Reimbursement, Market Opportunity Assessment, Performance Measurement, Pricing Strategies, Process Improvements, Strategic Thinking, Technical Credibility

Preferred Skills

Account Management, Coaching, Competitive Landscape Analysis, Compliance Management, Consulting, Cross-Functional Collaboration, Escalation Management, Fact-Based Decision Making, Finance and Accounting Platforms, Financial Reports, Market Access Reimbursement, Market Opportunity Assessment, Performance Measurement, Pricing Strategies, Process Improvements, Strategic Thinking, Technical Credibility

The anticipated base pay range for this position is :

$102,000.00 - $177,100.00

Additional Description For Pay Transparency

Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)).
This position is eligible to participate in the Company’s long-term incentive program.
Subject To The Terms Of Their Respective Policies And Date Of Hire, Employees Are Eligible For The Following Time Off Benefits:
Vacation –120 hours per calendar year
Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year
Holiday pay, including Floating Holidays –13 days per calendar year
Work, Personal and Family Time - up to 40 hours per calendar year
Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child
Bereavement Leave – 240 hours for an immediate family member: 40 hours for an extended family member per calendar year
Caregiver Leave – 80 hours in a 52-week rolling period10 days
Volunteer Leave – 32 hours per calendar year
Military Spouse Time-Off – 80 hours per calendar year
For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits